Page 1: program information
What the IBM SkillsBuild program is, the intake eligibility criteria, the registration requirement, where to send the application, and the Privacy Act and respondent burden notices.
22-10282
IBM Skillsbuild Training Program Intake Application
VA Form 22-10282 is the U.S. Department of Veterans Affairs IBM Skillsbuild Training Program Intake Application. VA's form page says to use it to apply for the IBM SkillsBuild program, which provides free online services to help start or advance a career in technology.
The form describes SkillsBuild as an IBM-sponsored training program administered by VA. It says VA will provide veterans, service members and their families access to no-cost, self-paced, virtual training and credentials in Cybersecurity and Data Analytics.
The PDF is two pages. Page 1 explains the program, the intake criteria and where to send the application. Page 2 holds the application in Parts I to III and a certification checkbox. VA's page says you can also apply online. You can fill out the PDF free in your browser on this page and download the result without an account.

What the IBM SkillsBuild program is, the intake eligibility criteria, the registration requirement, where to send the application, and the Privacy Act and respondent burden notices.

Items 1 to 8: name, sex of applicant, only the last four digits of the Social Security number, a required email address, mobile and home numbers, the training cohort date and race or ethnicity.

Item 9 asks for the military affiliation, and Item 10 asks whether you are currently using or previously used any VA education benefits.

Item 11 offers Cybersecurity basic or advanced, Data Analytics basics or advanced, or other, and says to check only one. Item 12 covers experience for an advanced course.
Whether you are currently employed, whether you work in the high technology industry, your current salary range from five choices and your highest level of education.
A checkbox certifying that the information is true and correct and authorizing release of the answers to VA. It cites Section 1001 of Title 18 of the U.S. Code on false statements.
It describes the program, the intake criteria and how to send the application. The form says registration is on a first-come, first-served basis.
Page 2 says the form must be completed in its entirety. The email address in Item 4 is marked required, and Item 3 takes only the last four digits of the Social Security number.
Check one training program in Item 11. For an advanced course, describe previous training or experience in Item 12 and check one level.
Item 14 is a checkbox to self attest that the information is true and correct to the best of your knowledge and belief.
The form says the completed application can be submitted electronically by email to [email protected]. VA's page says you can apply online instead.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form lists [email protected] for submitting the completed application electronically.
VA's form page says you can apply online instead of filling out and emailing the paper form.
The respondent burden notice lists 1-888-GI-BILL-1 (1-800-442-4551) for information on where to send comments or suggestions about the form, and 1-888-829-4833 for the hearing impaired.
The form is dated SEP 2023. It carries OMB Approved Number 2900-0922, with an expiration date of 09/30/2026 and a respondent burden of 10 minutes.
22-10201
36 fields, 2 pages
22-1990
155 fields, 7 pages
22-1990e
63 fields, 4 pages
22-5490
79 fields, 7 pages
22-0803
21 fields, 2 pages
22-10272
21 fields, 3 pages
The form's intake eligibility criteria name a veteran, service member, spouse, children, or caregiver who has previous or current entitlement under the GI Bill program.
Item 9 lists Veteran, Active Duty, National Guard, Reservist and Individual Ready Reserve as military affiliations.
Item 9 also lists Spouse, Child and Caregiver as military affiliations an applicant can select.
Item 12 asks anyone applying for an advanced course to describe previous training or experience in the subject and check beginner, intermediate or expert.
The form says the completed application can be submitted by email to [email protected], and that registration is on a first-come, first-served basis.
The form lists its intake criteria and the military affiliations an applicant can select.
The agency’s own page for Form 22-10282.
The official blank form, to print or fill by hand.
No tool matches that search.
VA's form page says to use it to apply for the IBM SkillsBuild program, which provides free online services to help start or advance a career in technology.
Yes. VA's form page says you can apply online instead of filling out and emailing the paper form.
The form says the completed application can be submitted electronically by email to [email protected].
Item 11 lists Cybersecurity basic and advanced, Data Analytics basics and advanced, and an other option to describe. The form says to check only one.
No. Item 3 asks for only the last four digits of the applicant's Social Security number.
The form's intake eligibility criteria name a veteran, service member, spouse, children, or caregiver who has previous or current entitlement under the GI Bill program.